NSG 3100 Exam 4 | Advanced Nursing Concepts & Clinical Practice Assessment
When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor the
status of which body system? - (ANSWER)Neurological
While assisting the client with meal selection, the nurse realizes that clients who practice Islam or
Judaism share an avoidance of: - (ANSWER)pork products.
The client wants to increase intake of an antioxidant in her diet. The nurse recommends including
vitamin C, which is best found in: - (ANSWER)Correct Answer:
tomatoes.
For a child who has ingested the remaining contents of an aspirin bottle, the nurse suspects signs and
symptoms consistent with: - (ANSWER)Correct Answer:
metabolic acidosis.
Which of the following techniques used by the new staff nurse for administering medications via an
enteral tube requires correction by the charge nurse? - (ANSWER)Correct Answer:
Adding the medications to the tube feeding
After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to recommend
which one of the following foods for this client? - (ANSWER)Correct Answer:
Yogurt
While doing a nutritional assessment of a low-income family, the community health nurse determines
that the family's diet is inadequate in protein content. The nurse suggests which of the following lower-
cost foods to increase protein content? - (ANSWER)Correct Answer:
Beans
The client has had throat surgery and is placed on a clear liquid diet. The nurse should offer the patient:
- (ANSWER)Correct Answer:
apple juice.
The majority of body fluid is located in which area? - (ANSWER)Correct Answer:
, NSG 3100 Exam 4 | Advanced Nursing Concepts & Clinical Practice Assessment
Intracellular
The nurse recognizes that the client, on the basis of the imbalance that is present, will require fluid
replacement with isotonic solution. One of the isotonic solutions that may be ordered by the physician
is: - (ANSWER)Correct Answer:
Lactated Ringer solution.
One of the first indications of fluid volume deficit is: - (ANSWER)Correct Answer:
tachycardia.
For the client with a vitamin D deficiency and inadequate calcium intake, the nurse observes for: -
(ANSWER)Correct Answer:
Chvostek sign
Chvostek sign - (ANSWER)an abnormal reaction to the stimulation of the facial nerve.
A nasogastric tube is inserted in order for the client to receive intermittent tube feedings. The action by
the nurse that requires correction by the unit manager is: - (ANSWER)Correct Answer:
instilling air into the NG tube to check for placement.
The mucous membranes of a normally hydrated individual are: - (ANSWER)Correct Answer:
moist.
Of the following clients, the nurse recognizes that the individual who is most at risk for a fluid volume
deficit is: - (ANSWER)Correct Answer:
42-year-old with severe vomiting.
The single best indicator of fluid status is the nurse's assessment of the client's: - (ANSWER)Correct
Answer:
daily body weight
When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor the
status of which body system? - (ANSWER)Neurological
While assisting the client with meal selection, the nurse realizes that clients who practice Islam or
Judaism share an avoidance of: - (ANSWER)pork products.
The client wants to increase intake of an antioxidant in her diet. The nurse recommends including
vitamin C, which is best found in: - (ANSWER)Correct Answer:
tomatoes.
For a child who has ingested the remaining contents of an aspirin bottle, the nurse suspects signs and
symptoms consistent with: - (ANSWER)Correct Answer:
metabolic acidosis.
Which of the following techniques used by the new staff nurse for administering medications via an
enteral tube requires correction by the charge nurse? - (ANSWER)Correct Answer:
Adding the medications to the tube feeding
After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to recommend
which one of the following foods for this client? - (ANSWER)Correct Answer:
Yogurt
While doing a nutritional assessment of a low-income family, the community health nurse determines
that the family's diet is inadequate in protein content. The nurse suggests which of the following lower-
cost foods to increase protein content? - (ANSWER)Correct Answer:
Beans
The client has had throat surgery and is placed on a clear liquid diet. The nurse should offer the patient:
- (ANSWER)Correct Answer:
apple juice.
The majority of body fluid is located in which area? - (ANSWER)Correct Answer:
, NSG 3100 Exam 4 | Advanced Nursing Concepts & Clinical Practice Assessment
Intracellular
The nurse recognizes that the client, on the basis of the imbalance that is present, will require fluid
replacement with isotonic solution. One of the isotonic solutions that may be ordered by the physician
is: - (ANSWER)Correct Answer:
Lactated Ringer solution.
One of the first indications of fluid volume deficit is: - (ANSWER)Correct Answer:
tachycardia.
For the client with a vitamin D deficiency and inadequate calcium intake, the nurse observes for: -
(ANSWER)Correct Answer:
Chvostek sign
Chvostek sign - (ANSWER)an abnormal reaction to the stimulation of the facial nerve.
A nasogastric tube is inserted in order for the client to receive intermittent tube feedings. The action by
the nurse that requires correction by the unit manager is: - (ANSWER)Correct Answer:
instilling air into the NG tube to check for placement.
The mucous membranes of a normally hydrated individual are: - (ANSWER)Correct Answer:
moist.
Of the following clients, the nurse recognizes that the individual who is most at risk for a fluid volume
deficit is: - (ANSWER)Correct Answer:
42-year-old with severe vomiting.
The single best indicator of fluid status is the nurse's assessment of the client's: - (ANSWER)Correct
Answer:
daily body weight
